Volume-outcome association in bariatric surgery: a systematic review

Annals of Surgery
Boris ZevinTeodor P Grantcharov

Abstract

To systematically examine the association between annual hospital and surgeon case volume and patient outcomes in bariatric surgery. Bariatric surgery remains a technically demanding field with significant risk for morbidity and mortality. To mitigate this risk, minimum annual hospital and surgeon case volume requirements are being set and certain hospitals are being designated as "Bariatric Surgery Centers of Excellence." The effects of these interventions on patient outcomes remain unclear. A comprehensive systematic review on volume-outcome association in bariatric surgery was conducted by searching MEDLINE, Cochrane Database of Systematic Reviews, and Evidence Based Medicine Reviews databases. Abstracts of identified articles were reviewed and pertinent full-text versions were retrieved. Manual search of bibliographies was performed and relevant studies were retrieved. Methodological quality assessment and data extraction were completed in a systematic fashion. Pooling of results was not feasible due to the heterogeneity of the studies. A qualitative summary of results is presented. From a total of 2928 unique citations, 24 studies involving a total of 458,032 patients were selected for review. Two studies were prospective ...Continue Reading

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Citations

Aug 15, 2013·Surgical Endoscopy·Mehraneh D JafariNinh T Nguyen
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Jan 2, 2018·Joint Commission Journal on Quality and Patient Safety·Kristy Kummerow BromanMargaret L Schwarze

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